Michelle Davignon, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Beech Island, South Carolina. Her current practice location is
4645 Augusta Rd, Beech Island, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 593-9283.
Michelle Davignon is licensed to practice in Georgia (license number RN236485) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275091712.
Provider's Profile
| Full Name | Michelle Davignon |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 4645 Augusta Rd, Beech Island, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1275091712
- Provider Enumeration Date: 03/04/2019
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870938186
- Enrollment ID: I20240227000764
Medical Identifiers
Medical identifiers for Michelle Davignon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275091712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN236485 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Davignon allows following entities to bill medicare on her behalf.
| Entity Name | Rural Health Services, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053362111
PECOS PAC ID: 8527046010
Enrollment ID: O20040712000202 |
|---|
| Entity Name | Rural Health Services, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790846608
PECOS PAC ID: 8527046010
Enrollment ID: O20150430001240 |
|---|
| Entity Name | Rural Health Services, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447530431
PECOS PAC ID: 8527046010
Enrollment ID: O20150430001494 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Davignon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michelle Davignon, PNP
215 Claudia Dr,
Grovetown, GA 30813-8318
Ph: () - | Michelle Davignon, PNP
4645 Augusta Rd,
Beech Island, SC 29842-7265
Ph: (803) 593-9283 |
Reviews and Comments